Q4 and FY 2020 Results - Press Conference January 26, 2021 - Novartis

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Q4 and FY 2020 Results - Press Conference January 26, 2021 - Novartis
Novartis AG

              Q4 and FY 2020 Results
              Press Conference
              January 26, 2021
Q4 and FY 2020 Results - Press Conference January 26, 2021 - Novartis
Disclaimer

This presentation contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995, that can generally be identified by
words such as “potential,” “expected,” “will,” “planned,” “pipeline,” “outlook,” or similar expressions, or by express or implied discussions regarding potential new products, potential
new indications for existing products, potential product launches, or regarding potential future revenues from any such products; or regarding the impact of the COVID-19 pandemic
on certain therapeutic areas including dermatology, ophthalmology and the Sandoz retail business, and on drug development operations; or regarding potential future, pending or
announced transactions; regarding potential future sales or earnings of the Group or any of its divisions; or by discussions of strategy, plans, expectations or intentions; or regarding
the Group’s liquidity or cash flow positions and its ability to meet its ongoing financial obligations and operational needs; or regarding our not-for-profit portfolio of 15 medicines from
the Sandoz division for symptomatic treatment of COVID-19 and our collaboration with Molecular Partners to develop, manufacture and commercialize potential medicines for the
prevention and treatment of COVID-19. Such forward-looking statements are based on the current beliefs and expectations of management regarding future events, and are subject
to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual
results may vary materially from those set forth in the forward-looking statements. You should not place undue reliance on these statements. In particular, our expectations could be
affected by, among other things: liquidity or cash flow disruptions affecting our ability to meet our ongoing financial obligations and to support our ongoing business activities; the
impact of the COVID-19 pandemic on enrollment in, initiation and completion of our clinical trials in the future, and research and development timelines; the impact of a partial or
complete failure of the return to normal global healthcare systems including prescription dynamics by mid 2021; global trends toward healthcare cost containment, including ongoing
government, payer and general public pricing and reimbursement pressures and requirements for increased pricing transparency; uncertainties regarding potential significant
breaches of data security or data privacy, or disruptions of our information technology systems; regulatory actions or delays or government regulation generally, including potential
regulatory actions or delays with respect to the development of the products described in this presentation; the potential that the strategic benefits, synergies or opportunities
expected from the transactions described, including BeiGene, may not be realized or may be more difficult or take longer to realize than expected; the uncertainties in the research
and development of new healthcare products, including clinical trial results and additional analysis of existing clinical data; our ability to obtain or maintain proprietary intellectual
property protection, including the ultimate extent of the impact on Novartis of the loss of patent protection and exclusivity on key products; safety, quality, data integrity, or
manufacturing issues; uncertainties involved in the development or adoption of potentially transformational technologies and business models; uncertainties regarding actual or
potential legal proceedings, investigations or disputes; our performance on environmental, social and governance measures; general political, economic and business conditions,
including the effects of and efforts to mitigate pandemic diseases such as COVID-19; uncertainties regarding future global exchange rates; uncertainties regarding future demand for
our products; and other risks and factors referred to in Novartis AG’s current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information
in this presentation as of this date and does not undertake any obligation to update any forward-looking statements as a result of new information, future events or otherwise.

Enbrel® is a registered trademark of Amgen, Inc. Humira® and Skyrizi™ are registered trademarks of Abbvie Inc. Siliq® is a registered trademark Valeant Pharmaceuticals
International, Inc. Taltz® is a registered trademark of Eli Lilly and Company. Stelara®, Tremfya® and Simponi® are registered trademarks of Janssen Biotech, Inc. Cimzia® is a
registered trademark of UCB Group of Companies.

2    Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Q4 and FY 2020 Results - Press Conference January 26, 2021 - Novartis
Participants

                     Vas Narasimhan                                                    Susanne Schaffert
                     Chief Executive Officer                                           President, Novartis Oncology

                     Harry Kirsch                                                      Richard Saynor
                     Chief Financial Officer                                           CEO, Sandoz

                    Marie-France Tschudin                                              Shannon Thyme Klinger
                    President, Novartis Pharmaceuticals                                Chief Legal Officer

3   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Q4 and FY 2020 Results - Press Conference January 26, 2021 - Novartis
Vas Narasimhan
Chief Executive Officer

4   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
We are transforming Novartis...

Strategy set out in 2018...                                                               ...is transforming Novartis

Our focus                     Our five priorities
                                                                                          100% focused as a medicines company
    Focus our                   Unleash the               Deliver
    company                     power of our              transformative
    and capital                 people                    innovation
                                                                                          Leading pipeline, with 4 advanced therapy platforms

                                                                                          Achieved USD 2bn cost savings over 2017-2020
    Accelerate                  Embrace                   Go big
    certain                     operational               on data
    geographies                 excellence                and digital
                                                                                          Establishing a leading digital and data science platform

                                                                                          Improving ESG scores, sector-leading across 4 key indices
    Strengthen                                            Build trust
    our core                                              with society
                                                                                          Record-high engagement score

5      Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
...while delivering strong operational performance

                                                                                                                                                               Innovative Medicines
Net sales +5% CAGR1                                                             Core3 OpInc +10% CAGR1
Continuing operations2, USD bn                                                                                                                                 core3 margin up to 35%

    2017               2018              2019               2020                   2017               2018               2019              2020                   2017               2018              2019               2020

                                                              48.7                                                                                                                                                         35.0%
                                          47.4                                                                                                15.4
                                                                                                                          14.1                                                                         33.5%
                       44.8
                                                                                                      12.6                                                                         32.0%
    42.3                                                                                                                                                       31.0%
                                                                                  11.7

1. CAGR % 2017-20 in USD 2. Refers to continuing operations as defined on page 43 of the Condensed Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz, as well as the continuing corporate
functions 3. Constant currencies (cc) and core results are non-IFRS measures. An explanation of non-IFRS measures can be found on page 55 of the Condensed Financial Report

6     Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Q4 sales growth and margin expansion driven by strong
performance from key growth drivers
    Operational performance                                  Key growth driver sales Q4 2020                                                                      Key growth drivers and launches,
                                                                                                                                               Growth
    Continuing operations1, % cc vs. PY                                              Sales                    Growth vs. PY                    vs. PY             as % of Innovative Medicines sales
                                                                                    USD mn                         USD mn                          cc

                                                                                      716                                                        35%                                                                    Adakveo®
                                                                                                                                   198                                                                52%
                                                                                                                                                                                                                        Beovu®
          Q4 2020             FY 2020                                                1,109                                                       13%
                                                                                                                          144                                                                                           Mayzent®
                                                                                      471                                                        23%                                      43%                           Piqray®
    Net                          3%                                                                                91
    sales                                                                                                                                                                                                               Xiidra®
                                                                                      376                        83                              24%
                                                                                                                                                                                                                        Lutathera®
                       1%                                                             254                     68                                 33%                           34%                                      Kymriah®
                                                                                                                                                                                                                        Kisqali®
                                                                                      240                   62                                   32%                28%
                                                                                                                                                                                                                        Ilaris®
                                                                                      408                   52                                   13%                                                                    Zolgensma®
    Core2                       13%                                                   141                45                                      42%                                                                    Jakavi®
    OpInc                                                                                                                                                                                                               Tafinlar+Mekinist®
                                                                                       57               40                                        nm
                                                                                                                                                                                                                        Promacta®
                                                                                       34              33                                         nm                                                                    Entresto®
                                                                                                                                                                                                                        Cosentyx®
                                                                                      335              32                                         8%                 Q4         Q4         Q4          Q4
                                                                                                                                                                    2017       2018       2019        2020              Other3
                       2%                                                             184              29                                        18%
                                                                                                                                                                  3. Includes Tasigna®, Xolair®, Aimovig®, Tabrecta ®, Kesimpta®,
                                                             nm – not meaningful                                                                                  Luxturna® , Enerzair ® and Atectura®

1. Refers to continuing operations as defined on page 43 of the Condensed Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz, as well as the continuing corporate functions   2. Core results are
non-IFRS measures. An explanation of non-IFRS measures can be found on page 55 of the Condensed Financial Report

7      Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Sandoz sales met guidance with significant margin growth,
despite pandemic impact

    Sales stable, core margin                                             Key 2020 performance drivers   Driving growth
    increased by +3.3%pts in 2020
    (vs. PY, in cc)                                                       Biopharmaceuticals1 growth     Biosimilars
                                                                          +19%, increasing share in       15+ pipeline assets, many entering clinical
                                                                          maturing European markets        phase soon
        Q4 2020                FY 2020
                                                                                                          Sales of up to USD 3.5bn expected by 2025
                                                                          Retail decline
    Net sales                                                             driven by COVID-19 and US      Small molecules
                                      0%                                  oral solids                     High LoE coverage (EU: >80%, US: >50%)
                    0%                                                                                     with approximately 40 US first-to-files until
                                                                          Margin increase from             2024
                                                                          product mix, productivity,
    Core OpInc                                                            favorable price effects;
                                      15%                                 reduced spend                  Driving margin
                                                                                                         (mid-to-high 20s in mid-to long term)
                       3%                                                                                 Manufacturing optimization
                                                                                                          Product mix from higher biosimilar share
                                                                                                          Operational excellence including use of digital
  Core               20.8%            24.2%
  margin:                           +3.3%pts
1. Biopharmaceuticals include biosimilars, biopharmaceutical contract manufacturing and Glatopa ®

8     Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Novartis focused on overcoming COVID-19 challenges
Select examples

    Dermatology market declines with COVID-19                                                                                                                             Key areas impacted in 2020 expected to
     PsO market weekly patient visits Jan-Aug 2020                                             PsO market weekly NBRx Jan-Aug 2020
                                                                                                           4.0
                                                                                                                                                                          continue through H1 2021
                                 25

                                 20                                                                        3.0
                                                                                                                                                                           Dynamic segment of          Several therapeutic areas,
     Visit Volum e (thousands)

                                                                                               Thousands
                                 15
                                                                                                           2.0                                                             market (new/switch           particularly dermatology and
                                 10
                                                                                                                                                                           patients): less patient      ophthalmology
                                                                                                           1.0
                                  5                                                                                                                                        traffic, less F2F
                                                                                                                                                                                                       New launches
                                  0                                                                        0.0                                                             physician access
                                      Jan    Mar        May          Aug         Oct     Dec                     Jan      Mar           May        Aug       Oct    Dec                                 (e.g. Kesimpta®, Mayzent®)
    Sources: IQVIA Visits Data. IQVIA National Prescription Audit for Dermatology
                                                                                                                                                                                                       Advanced breast cancer
                                                                                                                                                                                                        (CDK4/6 market and Piqray®)
    Oncology market declines with COVID-19
     Biopsy and surgery rates                                                                               CDK4/6 market NBRx
       120
                                                                                                                                                                           Hospital initiation (lab    Kymriah®
                                                                                                                                        -20%                               work, diagnostics);
       100                                                                                                                                                                                             Lutathera®
                          80
                                                                                                                                                                           immuno-suppression
                          60
                                                                                                                                                                           concerns                    Zolgensma®
                          40

                          20
                                             Breast         Lung      Melanoma                                                                                             Lower demand                Sandoz Retail
                                 0
                                  Pre- Mar
                                 COVID
                                              Apr     May      Jun   Jul   Aug     Sep   Oct                       Pre-COVID baseline
                                                                                                                    Q3’19-Q1’20 Avg.
                                                                                                                                               Sep’20-Nov’20 Avg.                                       and anti-infectives
              Source: IQVIA APLD, Novartis Analysis                                                          Source: IQVIA projection

9                                 Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Made significant strides in building trust with society and in
integrating ESG across every aspect of our company
Key ESG developments over the past 12 months and selected aspirations

   Ethical                                          Pricing                                        Global Health                                   Corporate                Governance &
   Standards                                        & Access                                       Challenges                                      Citizenship              Transparency

Resolved material legacy                         Introduced 100+                                Expanded our Africa sickle                      Strong COVID-19 response   ESG index launched
compliance issues                                Emerging Market Brands                         cell disease program                            Integrating D&I efforts  Reporting in line with TCFD
Launched Code of Ethics                          Issued sustainability-                         Advancing pipeline of                           across our operations    Working towards integrated
                                                 linked bond                                    novel malaria treatments                                                 reporting

                         Select                 200% increase in SITs                           50% increase in our                             Full carbon, plastic and   ESG targets embedded into
                   commitments                  patient reach by 2025 1                         Flagship Programs’ reach                        water neutrality by 2030   executive remuneration
                                                                                                by 20251

  Significant improvements recognized by third party ESG rating agencies

SIT – Strategic innovative therapies   1. As defined in ESG bond prospectus   More details in Novartis in Society Report: www.novartis.com/nisreport2020

10    Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Harry Kirsch
Chief Financial Officer

11   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
2020 financial results in line with guidance
As revised in Q3 investor call

Group full year guidance                                                                FY 2020 vs. PY
In cc                                                                                        in cc

“Sales expected to grow mid single digit assuming return to
normal prescription dynamics.                                                               3%       
3 to 4% range in case of resurgence of COVID-19”

“Core operating income to grow low double digit to mid teens”                               13%      

12   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Solid FY performance on top and bottom line

Continuing operations                               1
                                                                                  Q4                           Change vs. PY                                              FY                           Change vs. PY
USD million                                                                      2020                    % USD                        % cc 2                             2020                    % USD                   % cc 2

Net Sales                                                                      12,770                          3                         1                             48,659                          3                  3
                                                2
Core Operating income                                                           3,501                          1                         2                             15,416                          9                  13

Operating income                                                                2,644                         45                        51                             10,152                         12                  19

Net Income                                                                      2,099                         86                        93                              8,071                         13                  20
                                     2
Core EPS (USD)                                                                   1.34                          2                         3                               5.78                          9                  13

EPS (USD)                                                                        0.92                         84                        93                               3.55                         14                  21
                                 2
Free Cash Flow                                                                  3,342                          -4                                                      11,691                        -10

1. Refers to continuing operations as defined on page 43 of the Condensed Financial Report, excludes Alcon, includes the busi nesses of Innovative Medicines and Sandoz, as well as the continuing corporate functions
2. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 55 of the Condensed Financial Report

13    Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Novartis proposes 24th consecutive dividend increase to the
AGM: 3.00 CHF / share1

                                                                                                                                                                              2020 dividend yield 3.6%2
                                                                                                                                                                              2020 dividend growth 1.7%3
3.5

                                                                                                                                                                                                                       USD 3.404
3.0

                                                                                                                                                                                                         USD 3.12
                 CHF dividend            USD dividend

                                                                                                                                                                                                                    CHF 3.00
                                                                                                                                                                                                        CHF 2.95
2.5

2.0

1.5

1.0

0.5

0.0
       1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

1. Proposal to shareholders at the 2021 Annual General Meeting, taking place on March 2, 2021    2. Based on closing share p rice of CHF 83.65 at end of business year 2020 (December 30, 2020)   3. In CHF
4. Converted at historic exchange rates at the dividend payment dates as per Bloomberg for 2020, assumes an exchange rate of USD/CHF of 0.88106 as of December 31, 2020

14    Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
2021 Novartis full year guidance
Barring unforeseen events; growth vs. PY in cc

 Continuing operations | full year guidance1
 vs. PY (cc)

 Sales expected to grow low to mid single digit
  IM Division expected to grow mid single digit
  Sandoz expected to be broadly in line with prior year

     Core operating income expected to grow mid single digit, ahead of sales

     1. Key assumptions:
      Our guidance assumes that we see a return to normal global healthcare systems including prescription dynamics by mid 2021
      In addition, we assume that no Gilenya and no Sandostatin LAR generics enter in 2021 in the US

15    Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Vas Narasimhan
Chief Executive Officer

16   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
2021 catalysts maintaining long-term momentum

  Potential catalysts                             Selected examples
  Major approvals                                 Kesimpta® (EU/JP)                                                 Entresto® (US)                                                    Cosentyx® (US/JP/CN)
                                                  RMS                                                               HFpEF                                                             Pediatric psoriasis

  Major submissions1                              Alpelisib (BYL719)                                                Asciminib (ABL001)                                                Jakavi®
                                                  PROS                                                              CML                                                               Acute and chronic GvHD

                                                  Beovu®                                                            Leqvio® (US)2                                                     Kymriah®
                                                  DME                                                               Hyperlipidemia                                                    FL
                                                  177Lu-PSMA-617                                                    Sabatolimab (MBG453)                                              Canakinumab (ACZ885)3
  Major readouts
                                                  mCRPC                                                             MDS                                                               NSCLC 1L + 2L
  Enabling submission 2021
                                                  Kymriah®                                                          Entresto®
                                                  r/r DLBCL 1st relapse                                             Post-AMI

                                                  Ligelizumab (QGE031)4                                             Cosentyx®
  Enabling submission 2022
                                                  CSU                                                               HS

                                                  Iptacopan (LNP023)                                                Kisqali®
  Others
                                                  IgAN, C3G (Ph2)                                                   Breast cancer (MONALEESA-2 OS)

  Pivotal study starts                            Iptacopan (LNP023)                                                Ligelizumab (QGE031)                                              177Lu-PSMA-617
                                                  IgAN, C3G, aHUS                                                   Food allergy, CINDU                                               pre-taxane

1. First submission in any market. 2. Novartis received a CRL from the FDA due to unresolved facility inspection-related conditions at a third-party manufacturing facility in Europe. FDA has not raised any concerns related to the efficacy or
safety of inclisiran. Response to CRL planned to be submitted Q2 - Q3 2021. 3. Depending on timing of final read-out submission may move to early 2022 4. Q4/2021-Q1/2022 potential COVID impact

17    Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Moving forward a breadth of assets to drive long-term growth

Selected opportunities: selection of expected 2021 milestones and additional indications

 Lifecycle management                                                 Pharmaceuticals                                    Oncology
                       Post-AMI: PARADISE                              Iptacopan        IgAN, C3G: Ph2 readout H1 2021   Canakinumab     NSCLC 1L/2L: CANOPY-1/2
                       Ph3 readout H1 2021                             (LNP023)                                          (ACZ885)        Ph3 readout H1/2 2021
  Entresto®
                                                                                        aHUS: Ph3 start. PNH, iMN
                       HFpEF: FDA action date Q1 2021                                                                                    NSCLC adjuvant
                                                                       Iscalimab                                         177
                                                                                                                           Lu-PSMA-617   mCRPC 3L:
                       HS: SUNRISE, SUNSHINE                                            Sjögren's, kidney Tx, liver Tx
                                                                       (CFZ533)                                                          VISION Ph3 readout H1 2021
                       Ph3 readout H2 2021
  Cosentyx®
                       L. Planus, Peds PsO, jPsA/ER,                   Ligelizumab      CSU: PEARL 1, 2                                  mCRPC pre-taxane:
                       GCA, lupus nephritis                            (QGE031)         Ph3 readout H2 2021                              Ph3 start H1 2021

                       aBC: MONALEESA-2 OS                                              CINDU, food allergy              Sabatolimab     HR-MDS: STIMULUS
  Kisqali®             readout H2 2021                                                                                   (MBG453)        Ph2 readout H2 2021
                                                                                        Ph3 start H2 2021

                       PROS: submission H2 2021                                                                                          AML
                                                                       Pelacarsen
  BYL719                                                               (TQJ230)         CVRR-Lp(a)
                       TNBC, ovarian cancer, HER2+                                                                       TNO155          Solid tumors, multiple
                       aBC, HNSCC 2/3L                                                                                                   combinations being explored
                                                                       Branaplam        HD: Ph2b start H2 2021                           in on-going trials
                       DME: submission H1 2021                         (LMI070)
  Beovu®                                                                                                                 LXH254          BRAF/NRASm melanoma,
                       RVO, diabetic retinopathy                                        SMA
                                                                                                                                         mRAS/RAF NSCLC

 ‘Wild Cards’                 ECF843 (Dry eye: Ph2 readout H2 2021), LNA043 (Osteoarthritis: Ph2b start H1 2021),
                              CSJ117 (Asthma), QBW251 (COPD), NIS793 (Solid tumors)

18   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Conclusion

Delivered on our strategic and operational commitment in 2020

Third successive year of increases in sales, core operating income and margin

Progressing the pipeline and key approvals in 2020: Kesimpta® in US, Leqvio®,
Zolgensma® in EU, Tabrecta® in US, new indications for Cosentyx®

Expecting top and bottom line growth every year through 2025

19   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Q&A session

                      Vas Narasimhan                                                    Susanne Schaffert
                      Chief Executive Officer                                           President, Novartis Oncology

                      Harry Kirsch                                                      Richard Saynor
                      Chief Financial Officer                                           CEO, Sandoz

                     Marie-France Tschudin                                              Shannon Thyme Klinger
                     President, Novartis Pharmaceuticals                                Chief Legal Officer

20   Novartis Q4 and FY 2020 Results | January 26, 2021 | Novartis Media Presentation
Q&A
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